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This is VAERS ID 1120523

History of Changes from the VAERS Wayback Machine

First Appeared on 3/26/2021

VAERS ID: 1120523
VAERS Form:2
Age:71.0
Sex:Male
Location:Kentucky
Vaccinated:2021-02-11
Onset:2021-02-27
Submitted:0000-00-00
Entered:2021-03-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL 9267 / 1 AR / SYR

Administered by: Other      Purchased by: ??
Symptoms: Haemorrhage

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-28
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Renvela Auryxia ferric citrate Sensipar Relistor Tylenol Extra Strength Magnesium B12
Current Illness:
Preexisting Conditions: Renal Disease Hepatitis C
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up: Hemorrhage/Bleeding


Changed on 5/7/2021

VAERS ID: 1120523 Before After
VAERS Form:2
Age:71.0
Sex:Male
Location:Kentucky
Vaccinated:2021-02-11
Onset:2021-02-27
Submitted:0000-00-00
Entered:2021-03-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL 9267 / 1 AR / SYR

Administered by: Other      Purchased by: ??
Symptoms: Haemorrhage

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-28
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Renvela Auryxia ferric citrate Sensipar Relistor Tylenol Extra Strength Magnesium B12
Current Illness:
Preexisting Conditions: Renal Disease Hepatitis C
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up: Hemorrhage/Bleeding


Changed on 5/14/2021

VAERS ID: 1120523 Before After
VAERS Form:2
Age:71.0
Sex:Male
Location:Kentucky
Vaccinated:2021-02-11
Onset:2021-02-27
Submitted:0000-00-00
Entered:2021-03-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL 9267 / 1 AR / SYR

Administered by: Other      Purchased by: ??
Symptoms: Haemorrhage

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-28
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Renvela Auryxia ferric citrate Sensipar Relistor Tylenol Extra Strength Magnesium B12
Current Illness:
Preexisting Conditions: Renal Disease Hepatitis C
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up: Hemorrhage/Bleeding

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1120523&WAYBACKHISTORY=ON

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